Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $164.00	Professional		$164.00	$164.00	$164.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Facility		$37.86	$37.86	$37.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $37.86 / $47.33	Professional		$24.19	$37.86	$47.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $19.91 / $47.08	Facility		$19.91	$19.91	$47.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $24.38 / $24.38	Professional		$24.38	$24.38	$24.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50